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Individual

DANIEL KARL PIEKAREK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NPC

Contact information

Practice address
2200 SPRINGPORT RD, HENRY FORD ALLEGIANCE WOUND CARE CENTER, JACKSON, MI 49202-1432
(517) 796-6430
(517) 784-6984
Mailing address
PO BOX 73, TECUMSEH, MI 49286-0073
(517) 920-4100

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704193492
MI
363LG0600X
Gerontology Nurse Practitioner
4704193492
MI

Other

Enumeration date
04/09/2016
Last updated
04/09/2016
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